Tyler Kimball Wright, MD - Medicare Family Medicine in Godfrey, IL

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Tyler Kimball Wright, MD is a medicare enrolled "Family Medicine" physician in Godfrey, Illinois. His current practice location is 5213 Godfrey Rd Ste 110, Godfrey, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 619-3330.

Tyler Kimball Wright is licensed to practice in Illinois (license number 036171961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679140891.

Contact Information

Tyler Kimball Wright, MD
5213 Godfrey Rd Ste 110,
Godfrey, IL 62035-2510
(618) 619-3330
Not Available

Map and Direction




Physician's Profile

Full NameTyler Kimball Wright
GenderMale
SpecialityFamily Medicine
Location5213 Godfrey Rd Ste 110, Godfrey, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679140891
  • Provider Enumeration Date: 06/07/2021
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608277488
  • Enrollment ID: I20250123003007

Medical Identifiers

Medical identifiers for Tyler Kimball Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679140891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036171961 (Illinois)Primary
207Q00000XFamily Medicine 125078542 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler Kimball Wright allows following entities to bill medicare on his behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Kimball Wright is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler Kimball Wright, MD
5213 Godfrey Rd Ste 110,
Godfrey, IL 62035-2510

Ph: (618) 619-3330		Tyler Kimball Wright, MD
5213 Godfrey Rd Ste 110,
Godfrey, IL 62035-2510

Ph: (618) 619-3330

Reviews and Comments


Family Medicine Doctors in Godfrey, IL

Dr. Jon Anthony Wagnon, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1368 Dadrian Professional Park, Godfrey, IL 62035
Phone: 618-433-9701    Fax: 618-433-9706
Michael Robert Messmer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035
Phone: 618-619-3330    Fax: 618-463-7601
Dr. Christopher S Wagoner, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035
Phone: 618-619-3330    Fax: 618-619-3390
Dr. Yusuf Ata Mohyuddin, M.D., M.P.H.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Dadrian Professional Park, Godfrey, IL 62035
Phone: 618-466-2523    Fax: 618-466-2593

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.